Individual
MS. DEONNA EMERSON HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
12808 CREEKBEND CT, PROSPECT, KY 40059-8171
(502) 645-6991
Mailing address
12808 CREEKBEND COURT, PROSPECT, KY 40059-8171
(502) 645-6991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011965
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011965
PHARMACIST LICENSE
KY
01
—
13120
PHARMACIST LICENSE
MD
Enumeration date
04/26/2007
Last updated
07/08/2007
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